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Organization

BLADEN HEALTHCARE, LLC

Active
Parent organization
BLADEN HEALTHCARE, LLC
Other names
Cape Fear Valley - Bladen County Hospital (Anesthesia Department)
Organization subpart
Yes

Provider details

NPI number
Legal business name
BLADEN HEALTHCARE, LLC
Authorized official
MR. DAVID MASTERSON (CEO)
(910) 862-5178
Entity
Organization

Contact information

Practice address
501 S POPLAR ST, ELIZABETHTOWN, NC 28337-9375
(910) 862-5179
(910) 862-5129
Mailing address
501 S POPLAR ST, ELIZABETHTOWN, NC 28337-9375
(910) 862-5179
(910) 862-5129

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
H0154
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8000195
NC
Enumeration date
05/05/2008
Last updated
05/05/2008
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